Auditor - Inpatient Medical Coding w/ 90K SOB

Coronis Health Philippines; Philippines; On-site; PHP 360,000 - 600,000; Full time

Job summary

Coronis Health Philippines is seeking a Medical Coding Auditor to ensure accuracy in medical records coding. You will audit records, prepare findings, and educate coders on corrections while maintaining confidentiality and HIPAA compliance.

Role requires familiarity with ICD-10 coding and CMS guidelines, as well as ongoing participation in coding updates and education sessions to support quality and compliance in operations.

Qualifications

• Two years coding experience with strong performance history.
• CCS/CPC/CCS-P/CIC/COC/CCA certification preferred.
• College diploma or equivalent required.

Responsibilities

• Audit medical records coded to identify undercodes or upcodes.
• Prepare reports and communicate findings to coders clearly.
• Educate coders on errors and proper coding practices.
• Stay updated with Official Coding Guidelines and CMS ICD-10 changes.
• Ensure confidentiality and HIPAA compliance at all times.
• Attend coding education sessions for updates.
• Maintain facility-specific guidelines and contribute to quality/compliance.

Skills

Medical coding

Auditing

Confidentiality

Education

College diploma or equivalent

CCS/CPC/CCS-P/CIC/COC/CCA certification

Job description

Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions and confidentiality of information. Reviews and develop reports essential for quality and compliance standards. Medical coding auditor reports to Operations and Quality.

Essential Functions:

• Audits medical records that are coded to identify possible undercoded and/or upcoded services.
• Prepares reports of the findings and meets with the respective coder to communicate clearly the errors and provide education in line with appropriate coding practices and compliance issues.
• Outpatient Specialty: principal diagnosis, secondary diagnosis, procedures (CPT, HCPCS II), modifiers, Ambulatory Payment Classification (APC)
• Stays current with Official Coding and reporting Guideline, CMS directives for ICD 10 coding and conducts intensive research for acceptable source of references in coding updates, disease process, procedure details etc., to provide accurate audit and feedback to coding staff.
• Keeping updated to facility specific guidelines and compliance to ensure accuracy in auditing.
• Attends necessary coding education sessions to receive updated coding information and changes in coding and/or regulations.
• Able to think independently and impartial judgment.
• Able to adapt on technologies use in coding and auditing.
• Maintains confidentiality of information.
• Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.
• Capable of doing coding to its minimum as needed in the production.
• Perform as a team player
• Adhere to the individual MiraMed Coding Compliance Guideline Policy and Procedure
• Attendance in accordance with company HR and department policies
• Other tasks/functions that may be assigned by the company as per business requirement; these may change from time to time to reflect the changing requirement of your position and our business

Qualifications:

• College diploma or equivalent.
• Preferably possess a current CCS/CPC/CCS-P/CIC/COC/CCA (or equivalent) medical coder certification.
• Must have at least two (2) years coding experience within the organization and excellent annual evaluation rating.